Heights University Hospital

All Charges

Charge

Type

Setting

Price

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	7412067
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	2692138
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$27,397.00

Service Code	HCPCS 37248
Hospital Charge Code	321037248
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	5100846
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	366837248
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	366837248
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	5100846
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	2709033
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	2709033
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	7412067
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$27,397.00

Service Code	HCPCS 37248
Hospital Charge Code	321037248
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,986.23
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT DIALYSIS)

Facility

$24,115.80

Service Code	HCPCS 37248
Hospital Charge Code	2692138
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	2709031
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT LE)

Facility

$27,397.00

Service Code	HCPCS 37246
Hospital Charge Code	2692136
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

TBA 1ST ARTERY (NOT LE)

Facility

$27,397.00

Service Code	HCPCS 37246
Hospital Charge Code	321037246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,986.23
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	366837246
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	366837246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$27,397.00

Service Code	HCPCS 37246
Hospital Charge Code	2692136
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,986.23
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	7412065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	5100844
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	5100844
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA 1ST ARTERY (NOT LE)

Facility

$27,397.00

Service Code	HCPCS 37246
Hospital Charge Code	321037246
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	2709031
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,234.74
Rate for Payer: Aetna Medicare Advantage	$7,234.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,149.53
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,135.05
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TBA 1ST ARTERY (NOT LE)

Facility

$24,115.80

Service Code	HCPCS 37246
Hospital Charge Code	7412065
Hospital Revenue Code	361
Min. Negotiated Rate	$3,617.37
Max. Negotiated Rate	$3,617.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.37

TBA CENTRAL DIALYSIS SEG ADDON

Facility

$690.45

Service Code	HCPCS 36907
Hospital Charge Code	7412062
Hospital Revenue Code	361
Min. Negotiated Rate	$89.76
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$207.13
Rate for Payer: Aetna Medicare Advantage	$207.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.06
Rate for Payer: Cigna Commercial	$137.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.76
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.57
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges